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Personal Particulars Title: First Name: Middle Name: Last Name: Email: Phone Number: Sex: Date of Birth:

Current Employment Details Current Place of Employment Position Physical Address: Post Address:

Education Details Highest level of Education Attained Country of Residence Citizenship

Institution/School attended at Mkwawa Select Institution/School you attended at Mkwawa

St. Michael's & George's School (1959)

Mkwawa High School (1964)

O - Level School (1970)

Teachers' training college (1977)

High School for A-level (1992)

Constituent College of the UDSM (2005)

Graduation Year Programmes Registration Number

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UNITED REPUBLIC OF TANZANIA

UNIVERSITY OF DAR ES SALAAM
MKWAWA UNIVERSITY COLLEGE OF EDUCATION

ALUMNI REGISTRATION FORM